How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $13.49 Median $25.12 Typical High $46.77 | Facility | None | $13.49 | $25.12 | $46.77 |
Aetna Setting Professional Modifier None Typical Low $13.49 Median $15.85 Typical High $18.20 | Professional | None | $13.49 | $15.85 | $18.20 |
Anthem BCBS Setting Facility Modifier None Typical Low $18.20 Median $18.20 Typical High $89.13 | Facility | None | $18.20 | $18.20 | $89.13 |
Anthem BCBS Setting Professional Modifier None Typical Low $8.91 Median $10.72 Typical High $13.80 | Professional | None | $8.91 | $10.72 | $13.80 |
CareFirst Setting Professional Modifier None Typical Low $12.88 Median $14.45 Typical High $25.12 | Professional | None | $12.88 | $14.45 | $25.12 |
Cigna Setting Facility Modifier None Typical Low $18.20 Median $42.66 Typical High $70.79 | Facility | None | $18.20 | $42.66 | $70.79 |
Cigna Setting Professional Modifier None Typical Low $10.00 Median $13.80 Typical High $25.70 | Professional | None | $10.00 | $13.80 | $25.70 |
Kaiser Permanente Setting Professional Modifier None Typical Low $18.20 Median $21.88 Typical High $26.92 | Professional | None | $18.20 | $21.88 | $26.92 |
Medcost Setting Professional Modifier None Typical Low $15.14 Median $30.20 Typical High $35.48 | Professional | None | $15.14 | $30.20 | $35.48 |
Medcost Setting Facility Modifier None Typical Low $15.14 Median $15.85 Typical High $37.15 | Facility | None | $15.14 | $15.85 | $37.15 |
Medcost Setting Professional Modifier None Typical Low $9.77 Median $15.85 Typical High $15.85 | Professional | None | $9.77 | $15.85 | $15.85 |
Sentara Setting Facility Modifier None Typical Low $16.22 Median $28.18 Typical High $7,413.10 | Facility | None | $16.22 | $28.18 | $7,413.10 |
Sentara Setting Professional Modifier None Typical Low $16.22 Median $28.18 Typical High $10,232.93 | Professional | None | $16.22 | $28.18 | $10,232.93 |
United Setting Facility Modifier None Typical Low $21.88 Median $21.88 Typical High $21.88 | Facility | None | $21.88 | $21.88 | $21.88 |
United Setting Professional Modifier None Typical Low $7.59 Median $10.72 Typical High $19.05 | Professional | None | $7.59 | $10.72 | $19.05 |
2 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $6.76 Median $8.32 Typical High $8.51 | Professional | 52 · Reduced service | $6.76 | $8.32 | $8.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.69 Median $3.31 Typical High $3.39 | Professional | 53 · Discontinued | $2.69 | $3.31 | $3.39 |
Where Virginia sits
The same service costs 4.6 times more in Kansas than in Georgia. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Virginia· 44th of 51
$14.79
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.